Individual
DR. LANCELOT A LLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1680 MULKEY RD, SUITE E, AUSTELL, GA 30106-1118
(678) 383-6970
(678) 383-6973
Mailing address
1680 MULKEY RD, SUITE E, AUSTELL, GA 30106-1118
(678) 383-6970
(678) 383-6973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59816
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I113290
MEDICARE FOR TYPE 1 NPI
GA
05
—
210231259B
—
GA
Enumeration date
07/19/2006
Last updated
12/27/2012
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